Reflecting the postcolonial theoretical framework of the overall study, the dissertation results re-characterize the existing research literature on this topic and provide strong evidence of the importance of mistrust and marginalization during hospice decision-making to some U.S. Mexicans with cancer and their families. A review of the literature reveals that most work on the topic of Hispanics and hospice is Eurocentric. This dissertation highlights the importance of teaching healthcare providers about mitigating legacies of oppression as much as cultural competence, which is the dominant paradigm. In addition, there is a need for future research with marginalized U.S. Mexican populations on the benefits of community palliative care to this population and on the practice of corralling charity hospital patients with terminal illness into hospice.